FOLIC ACID - Breaking News from the UK

By Carole Sobkowiak, SRHSB Folate Spokesperson

Experts are now backing mandatory fortification of flour with folic acid.

In 2006 the Scientific Advisory Committee on Nutrition (SACN) published its report Folate and Disease Prevention and recommended mandatory fortification of flour with folic acid, together with controls on voluntary fortification so as not to exceed the upper safe limit.  Guidance was also given for the use of preconception supplementation.

The Food Standards Agency (FSA) considered the report and in June 2007 they recommended fortification www.fsa.gov.uk. In October 2007 the Chief Medical Officer (CMO) of England, on behalf of the UK CMO's, requested SACN to consider two further studies on folic acid and the risk of colorectal cancer.  SACN has convened meetings with their Committee on carcinogenicity and an external cancer expert and have concluded that their original advice remains unchanged www.sacn.gov.uk. The CMO was notified by the Food Standards Agency (FSA) on 19 October.  SACN were able to view confidential results of a meta-analysis on randomised control trials which reported cancer risks and their full report will be made available once this research is published.

 Global progress is monitored by the Flour Fortification Initiative (FFI) at Rollins School of Public Health,  www.sph.emory.edu/wheatflour/index.php.

So far no European country has added folic acid to flour.  The decision of the CMO is eagerly awaited.

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